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25C-159 (3) 186 BRIDGE ST BP-2017-0994 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25C- 159 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:INSULATION BUILDING PERMIT 1 ERMIT Permit# BP-2017-0994 Project# JS-2017-001715 Est.Cost: $2595.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: AMERICAN INSTALLATIONS LLC 106178 Lot Size(sq. 0.): 12414.60 Owner: KIROUAC MICHEL&THERESE M& MICHELE L&LYNNE M&CRAIG R & LISA M SUSSMAN Zoning: URB(100)/ Applicant: AMERICAN INSTALLATIONS LLC AT: 186 BRIDGE ST Applicant Address: Phone: Insurance: 130 COLLEGE ST (413) 552-0200 WC SOUTH HADLEYMA01075 ISSUED ON: TO PERFORM THE FOLLOWING WORK:ATTIC AND BASEMENT INSULATION & AIR SEALING THROUGHOUT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy signature: FeeType: Date Paid: Amount: Building $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Fite#BP-2017-0998 APPLICANT/CONTACT PERSON AMERICAN INSTALLATIONS LLC ADDRESS/PHONE 130 COLLEGE ST SOUTH HADLEY (413)552-0200 PROPERTY LOCATION 186 BRIDGE ST MAP 25C PARCEL 159 001 ZONE URB(1001/ :CHIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid { VJ/ Permit Filled out ( Fee Paid Typeof Construction: ATTIC AND BASEMENT INSULATION&AIR SEALING THROUGHOUT_,_ New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 106178 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: proved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§_ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR _Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding_ Special Permit Variance" Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management iD t 'rn D•la ce/ 2.3- / 7 Sig : re o Bm Piny,,0 'tial Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. ` OnAarimefd trse deli City of Northampton Status of Pmmib { n0 V \BuildingDepar6nent Curbt�wavewaytien�t \ 212 Main Street Sewer/SephmAyafabilty Room 100 WaterAN�Availai�ity Northampton,MA 01060 Two Sets of Sbuctural Plans phone 413-587-1240 Fax 413-587-1272 PhdlsBa Plans. ' OtllerSped(yy -..*-. .. APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH ACNE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 J'ropertyAdtlress This section to be completed by office Unit 186 Bridge Street Northampton, MA 01060 Map - Lot Zone Overlay District Eon SL District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Lisa Kirouac 186 Bridge Street Northampton,MA 01060 Name(Print) Current Ma Address: (413)265-9207 See attached - Telephone Signeture 2.2 Anthotized Mont American Installations 130 College St., Ste 100 South Hadley, MA 01075 Name(Print) Dumont MaTmg Addis= American Installations 413-552-0200 Signature Tetophmte SECTION 9•ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $2..545.$`( (a)Building Parma Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 6. Total=(1+2+3+4+5) $2,5'I5.?Lf Check Number ,3 2f'// This Section For Official Use Only Building Permit Number. Date Issued: Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Informality. Existing Proposed Required by Zoning This column to be nod in by Building Minent Lot Size Frontage Setbacks Front Side I: I R:i L:I R Rear Building Height Ei Bldg.Square Footage I - I % Open Space Footage (Lot arca minus bIdg&naval I puking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES 0 IF YES,date issued:) IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page I and/or Document#L B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES,describe size,type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO O IF YES,describe size,type and location: • E. Will the construction activity disturb(clearing,grading,excavation,orfilhng)over 1 acre oris it pad of a common plan that will disturb over 1 acre? YES 0 NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applhable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors I Accessory Bldg ❑ Demolition ❑ New signs (p] Decks jp SidingOther Brief Destoiption of Proposed Work: Attic and basement insulation and air sealing throughout Alteration of existing bedroom^_Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Rog -Sheet . _. _ _. Oa it New house Wei or addition to existigq'tsSius3nq�._ complete the#pliowinq; a. the of building:One Family Two Family Otter b. Number of teems in oath family unit Number of Bathrooms_,_. c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f, Method of heating? Fireplaces orWoodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance font attached? h. Type of construction i. Is consbucgon within f00 ft ofwetands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade _ It W N building conform to Me Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Lisa Kirauac as Owner at the subject properly hereby authorize American Installations to act on my behalf,in all matters relative te work authotzed by this building permit application. See attached 2/23/17 Signature of Owner Date I, American Installations as Owner/Augmdzed Agent hereby declare that the statements and information on the foregoing application are rue and accurate,tic the best of my knowledge and belief. Signed under the pains and penalties of perjury, American Installations Print Name American Installations 2/23/17 Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder' Wesley K. Couture 106178 License Number 130 College St., Ste 100 South Hadley,MA 01075 9/29/17 Address Expiration Date 413-552-0200 Signature Telephone _. O.Registered Home improvement Centimeter: _ _ Not Applicable 0 Wesley Couture 175982 Company Name Registration Number American Installations 6/27/17 Address Expiration Date 130 College St., Ste 100 South Hadley, MA 01075 Telephone 413-552-0200 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes El No..__ ❑ 11. -Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwel ines of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780. Sixth Edition Section 1083.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all suck work performed under the buidine permit As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injpries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform weak for you under this permit. The undersigned'homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature City of Northampton �£ ' y ,s Massachusetts aa, ' : r ' ➢ aiZLDIaG INSPECTIONS 212 Mein Street Municipal Building TJ. ,jC NorthemYon, K 01060 j4�q.� Property Address: 186 Bridge Street Contractor Name: American Installations Address: 130 College Street Ste. 100 City, State: South Hadley,MA Phone: 43-552-0200 Property Owner Name: Lisa Kirouac Address: 186 Bridge Street City, State: Northampton, MA 01060 I, American Installations (contractor) attest and affirm that the building I intend to insulate does not have any open air(knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contrast sign�atyre e. 07 n Date2/23/17 _ taliall wwrARSdebrrmaatlxa;pro VA Dttnae4&Inspretl hs CL 1:1061 J8 BBB- Jinn MF NOp6(mtVannll599S American Installations muster 4M AYR 3W.h,M Hadey,M*0Jau5.art:141a}S$2C0GFa tt4ut%E24262•EinaLsupparegyunertrammidintlommq girouaC,Lisa 15M12/8/2016 186 Bridge Street Northampton MA 01060 413.265.9207ian Imkbouac@gmaii.wm is.* pa 429552 mi .+.t 160384 l ." two Quantity Unit Unit Cost Total Air Sealing AIR SEALING ©man hour $ 85.00 $ 85.00 Total Air Seating $ 85.00 Total Air Sealing Incentive $ 85.00 Weathfladon FLAT.10'DENSE R-35 802 spit 1$ 1.95 $ 1,56390 INSULATE BULKHEAD DOOR 1 each $ 72.22 $ 22.22 SHEATHING ACCESS 1 each $ 31.31 $ 31.31 COMMON WALL-4" 90 sghrt $ 1,85 $ 166.50 INSULATE EXISTING DOOR 1 each $ 23.91 5 73.91 REMOVE INSULATION 804 sqft $ 0.25 $ 603,00 Total Incentivised Weatherizadon $ 1,902.84 Total Non-Incentivized Weatherizatinn $ W3.0(1 Total Project 5 2.595$2 Total Utility Contribution $ 1,515.88 Total Customer Contribution $ 1,079.96 wawmx.AmMan wtaptrm.LLC v4 paw*the gate xuwl hmteim yme a Z yeas uawevy wnamr. e,Wpgw ,l ,l, teHi ud.bvmeanpleu the atom ssnte as wort In attwdame MAfM above atectarMa and Alwl4M rbt.b dkg regulations ler the metal Contract value artngttd berth%µ ACCEPTANCE OF PROPOSALL:The above pdoea.speciutauon.and TOTAL CONTRACT VALUE e $ 1,079.96 conditions are aatisNnory and ate hereby xwpRa you ashamed wincesat smarms.Pros twulca Vaawnpnot to Down Paynent.N $ 359.00 0 nartdwk.uA %%due Upon Compieoonrtfia mot Balance Due Upon Completion'+ S 720.96 %war~ — a ,2yfie !Groom,Lisa Craig A.Dragovich „_MISAMEMEWPSWAWatiCS MIS ma e,ee s o.s w..wr m..r�mueg ae,1 W-'Cwa(.nweom2a mwr..tsreowaet.zowmatpmow"M'a.ea proweun .1.'..,C15.),-,,4 IItn amm t The Cometenwealth of Massachusetts Department of Industrial Accidents it�T _I/ c��1�t; Office of Investigations SIM, .r. 600 Washington Street Boston,MA 02111 s, —0:.' www.nxass.go3/dirt Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name fliusinessiOrgainzadomlndividitaly American Installations,LLC Address: 130 College Street,Suite 100 City/State/Zip: South Hadley,MA 01075 Phone 8: 413-552-0200 -_„ Are you an employer?Check the appropriate hos: ! Type of project(required): I (❑% I am a employer with 31 4. I am a general contractor and I — 6. ❑ New construction employees(full and/or part-time).' have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7. ❑Remodeling ship and have no employees These sub-contractors have S. Li Demolition working for me in any capacity_ workers' comp, insurance 9. ❑ Building additimi ]No workers'comp. insurance 5. ❑ We are a corporation and its - required_] officers have exercised their l0.❑ Electrical repairs or additions 3.Li I am a homeowner doing all work right of exemption per MGL ] I I.❑ Plumbing repairs or additions myself No workers'comp. c. 152_ 1(4),and we have no y. p 120 Roof repairs insurance required.] emploees. o workers' I Insulation comp. insurance required.] 1 t3 i_ Other T ....._...� a .. _—......— �. . twaks il o scu n worke compen p 'At aowncr wan submitbvs affidavit alnoca t' he wa belowalshowing then tivama do contractors utia bi unsex- t Nnmrownecv wan check this s bo must att iched an a they mu doing all work and:hen o r e stdu cwaaaora must arbor a new affidavit policy iy nform snub. :Contractors that check this box must attached an additional than showing the name nYlix-mbaommdav and rhea wmbus'camp,trolicy infor.narina t am an employer tht is providing workers'compensation Insurance for my employees. Below is the poling and job site information. Insurance Company Name: Guard Insurance Companies Policy d or Self ins. Lie.tr AMWC731485 Expiration Date: 09/04/2017 /� lob Site Addres' ,I ?62 r„ ,„f. -1 City/State/Zip: 1� n Mit' Attach a copy of the workers'compensatio tiey declarationpage(showing the policy number and expiratio date). rG D( y� Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties ofa 4 (,/�OIJ line up to$13500.00 andfor one-year imprisonment,as well as civil penalties in the form ofa STOP WORK ORDER and a tine of up to S250.00 a day against the violator_ Be advised that a copy of this statement may he forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby terry),under the pains and penalties of perjury that the information provided above is true nd correct. S'ienyture �il —fin • Dalt. 1IS I Phone 0: 413-55 -0200 iOfficial use one'. Do not write in this area,to be completed by city or town official City or Town: Permit/License#^ Issuing Authority(circle one): 1 I. Board of Health 2, Building Department 3.City/Town Clerk 4. Electrical inspector 5.Plumbing Inspector d.Other Contact Person: Phone#: 401W e CERTIFICATE OF LIABILITY INSURANCE DA9rlrsD 16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder is art ADDITIONAL INSURED,the policy{tes)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this Certificate does not confer rights to the certifcate holder in lieu of such endorsement(s). PRODUCER a ;ALT Linda Powers ad Webber G Grinnell PHONE (813)586-0111 Nol (4131586-9481 8 North Xing Street ,ipowe dg rafrei3seran zirmell.noal INBUREXfSj AFFORDING COVERAGE_. NAG• NOrthnp ten Nth 01060 INSURER A$Nplo)(er6 Mutual Casualty INSURED IxauRERa:i3erkahire Hathaway GUARD Zne. Co. American Installations, LLC IN&UXER C., Attn: Nee S Suzanne Couture SURER 0: 130 College Street, Suite 100 INSURER E: South Badley MA 01075 IN RER F: - COVERAGES CERTFICATENUMBERSfastar Exp 9-2011 REVISIONNUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD i INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBr:CT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSP . .._ _ ADUL,S)SR I POLICY EFF I POLICY EXP TYPE OFINSURANCE 211SO LYVp POLICY NUN®,Ee ! WIXYIMAIpp PerflawDYYn 1 LJMGS COMMERCIAL GENERAL unsure .EE,A�-CCHOCCCURRENCE 1,000,090 A 1...t5I0-1NOPADE I. OCCUR "'"" '0 E�� 500,000 X Liquor_Liability 511343521? 9/4/2015 9(4/2011 i0E0E in?,cee Gam") 10,000......_.. 'I PERSONAL 8 AOvwJUfiv 1,000,000 GEOL. AGOREEATELIMN APPS PERGENERAL AGOAEOATE 2.000,000 X PONCE 'TC' rLIY' PRODUCTS-COMPJP AGO 2,000,000 OTHER. ' ALOOMOSEE LIABILITY OLiexRNED$INIALE OWN 1,000,000 i �mU ._. BODILY INJURY rya pwWn) A "ALL OWNEAOOWENNY AUTO D SCHEDULED BODILY INJURY i AUTOS Y' AUTOS SZ3N5]1] 9/4/2016 914/291] (Pe,aC[dml EO yP%NAGE X HIRED AUTOS X AUTOS ( accident), PIPNsic 8,000 X UMBRELLA Me OCCUR EACH OCCURRENCE 1,0OO,e00 : A EXCEss LIAR CLAIMS-MADE, I AGGREGATE 1 1,000,000 DDD Iit I13ES TO S 10,090 55333521] 9/4/2016 9)4/2011 ; WORKERS COMPENSAaON - PER bix AND EMPLOYERNW&LIIY@i i1JtE, ! N ANY PROP IETORPARTNERIE%ECLRNE Y'N NIA I EL EACH ACCIDENT .8 500,000 DErce DEREXCVm Oc B ;Mandernn NHi —"' UA9C66991/ 9/4/2016 9/4f20L7 EL 0I9E9,S9.EAEMPOYES S _ S00,000 IDES PIPflONO tPERATIONS below ELDISEASE:POLICY LIMIT IS 500 09 A CoEeercia1 Property 5/9.391521 9/4/2036 191412012 aoldOe SONO 320,000 1 d0255414$114)0 640,000 OESCWPTaN OP DPERATONS1 frATIONSa VEHICLES(ACORD 101,AdE'M1mM RmuM4 Svhethat may be adxhC it MOapnnn M fepWrttl CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NONCE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. aUT W NZEO REPRESCNTA1WE Aja _ "� Kevin Joyce/LEP wy ` '��„ SIJ- ;'> @1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS82s,waww, Massachusetts -Department of Public Safety Unrestricted-Buildings of any use group which Board of Building Regulations and Standards contain less than 35,000 cubic feet(99Im)of Construction nS101ssnr enclosed space_ License: fS-106778 c1� rap WESLEY COITTOjE s. 166NORTHMAIW / -15 South HatSryMA6 s llll����VVViJ� Failure to possess acunerd edition of the Massachusetts s a a - .'State Building codea is cause for revoruton of this license. !j�(,��6, '''uc Expiration Commissioner 06/29/2017 ren DPS licensing information nut www.Mass.6ov/DVS �,2 G ^e Wt. i •i- 11 Y 4 i.UGai aG4 Office of Consumer Affairs and Busi- ss Reg lation _.- 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 175982 Type: LLC Expiration: 6/2 712 01 7 Trn 265208 AMERICAN INSTALLATIONS, LLC. - WESLEY COUTURE 130 COLLEGE STREET SUITE 100 SOUTH HADLEY, MA 01075 Update Address and return card.Mark reason for change. scam Co 20M our ❑ Address 0 Renewal 0 Employment 0 Lost Card '%/,e'O-m II,.,naQa/LA/'c/GGuadruea, Office ofConsumer Affairs&Business Regulation License or registration valid for individul use only N€OM ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ipz zstation: 175982 Type Office of Consumer Affairs and Business Regulation r' Expiration: _627/2017 LLC 10 Park Plaza Suite 5170 Boston,MA 02116 AMERICAN INSTALLATIONS,LLC WESLEY COUTURE ,✓/� 130 COLLEGE STREET SUITE 100 , .s_1,, ////qL. SOUTH HADLEY,MA 01075-- Undersecretary N valid without signature